This map shows where obesity and diabetes are happening in the US, by county. It shows each component of the map as its own layer, and also shows the patterns overlapping. Diabetes prevalence (% of adults)Obesity prevalence (% of adults)This data can be used to assess the health factors, and answer questions such as:Are certain counties more/less at risk in regards to diabetes and obesity?Are diabetes, obesity, and physical inactivity happening within the same areas of the US?According to the CDC: "These data can help the public to better use existing resources for diabetes management and prevention efforts." The data comes from the Behavioral Risk Factor Surveillance System (BRFSS) through the Centers for Disease Control and Prevention (CDC), and the data vintage is 2013. To explore other county indicators, different vintages, or the original data, click here. To view the interactive map through the CDC website, click here. To learn more about the methodology of how county-level estimates are calculated, see this PDF.

The prevalence of obesity in the United States has risen gradually over the past decade. As of 2023, around ** percent of the population aged 18 years and older was obese. Obesity is a growing problem in many parts of the world, but is particularly troubling in the United States. Obesity in the United States The states with the highest prevalence of obesity are West Virginia, Mississippi, and Arkansas. As of 2023, a shocking ** percent of the population in West Virginia were obese. The percentage of adults aged 65 years and older who are obese has grown in recent years, compounding health issues that develop with age. Health impacts of obesity Obesity is linked to several negative health impacts including cardiovascular disease, diabetes, and certain types of cancer. Unsurprisingly, the prevalence of diagnosed diabetes has increased in the United States over the years. As of 2022, around *** percent of the population had been diagnosed with diabetes. Some of the most common types of cancers caused by obesity include breast cancer in postmenopausal women, colon and rectum cancer, and corpus and uterus cancer.

West Virginia, Mississippi, and Arkansas are the U.S. states with the highest percentage of their population who are obese. The states with the lowest percentage of their population who are obese include Colorado, Hawaii, and Massachusetts. Obesity in the United States Obesity is a growing problem in many countries around the world, but the United States has the highest rate of obesity among all OECD countries. The prevalence of obesity in the United States has risen steadily over the previous two decades, with no signs of declining. Obesity in the U.S. is more common among women than men, and overweight and obesity rates are higher among African Americans than any other race or ethnicity. Causes and health impacts Obesity is most commonly the result of a combination of poor diet, overeating, physical inactivity, and a genetic susceptibility. Obesity is associated with various negative health impacts, including an increased risk of cardiovascular diseases, certain types of cancer, and diabetes type 2. As of 2022, around 8.4 percent of the U.S. population had been diagnosed with diabetes. Diabetes is currently the eighth leading cause of death in the United States.

Note: This data was created by the Center for Disease Control, not the City of Rochester. This map is zoomed in to show the CDC data at the census tract level. You can zoom out to see data for all 500 cities in the data set. This map has been built to symbolize the percentage of adults who, in 2017, had a body mass index (BMI) at/above 30.0, classifying them as obese according to self-reported data on their height on weight. However, if you click on a census tract, you can see statistics for the other public health statistics mentioned below in the "Overview of the Data" section.Overview of the Data: This service provides the 2019 release for the 500 Cities Project, based on data from 2017 or 2016 model-based small area estimates for 27 measures of chronic disease related to unhealthy behaviors (5), health outcomes (13), and use of preventive services (9). Twenty measures are based on 2017 Behavioral Risk Factor Surveillance System (BRFSS) model estimates. Seven measures (all teeth lost, dental visits, mammograms, Pap tests, colorectal cancer screening, core preventive services among older adults, and sleep less than 7 hours) kept 2016 model estimates, since those questions are only asked in even years. The project was funded by the Robert Wood Johnson Foundation (RWJF) in conjunction with the CDC Foundation. It represents a first-of-its kind effort to release information on a large scale for cities and for small areas within those cities. It includes estimates for the 500 largest US cities and approximately 28,000 census tracts within these cities. These estimates can be used to identify emerging health problems and to inform development and implementation of effective, targeted public health prevention activities. Because the small area model cannot detect effects due to local interventions, users are cautioned against using these estimates for program or policy evaluations.Data were provided by the Centers for Disease Control and Prevention (CDC), Division of Population Health, Epidemiology and Surveillance Branch. Data sources used to generate these measures include BRFSS data (2017 or 2016), Census Bureau 2010 census population data, and American Community Survey (ACS) 2013-2017 or 2012-2016 estimates. For more information about the methodology, visit https://www.cdc.gov/500cities or contact 500Cities@cdc.gov.

Data for cities, communities, and City of Los Angeles Council Districts were generated using a small area estimation method which combined the survey data with population benchmark data (2022 population estimates for Los Angeles County) and neighborhood characteristics data (e.g., U.S. Census Bureau, 2017-2021 American Community Survey 5-Year Estimates). Data for this indicator are based on self-reported height and weight. Body Mass Index (BMI) is calculated by dividing a person’s weight in kilograms by the square of their height in meters. Individuals with a BMI ≥ 30 are considered to have obesity. Note, while BMI can be helpful in screening for individuals with obesity or overweight, it does not measure how much body fat an individual has or provide any diagnostic information about their overall health.Obesity is associated with increased risk for heart disease, diabetes, and cancer. Cities and communities can help curb the current obesity epidemic by adopting policies that support healthy food retail and physical activity and improve access to preventive care services.For more information about the Community Health Profiles Data Initiative, please see the initiative homepage.

This dataset includes data on adult's diet, physical activity, and weight status from Behavioral Risk Factor Surveillance System. This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding.

The adult obesity rate, or the percentage of the county population (age 18 and older*) that is obese, or has a Body Mass Index (BMI) equal to or greater than 30 [kg/m2], is illustrative of a serious health problem, in Champaign County, statewide, and nationally.

The adult obesity rate data shown here spans from Reporting Years (RY) 2015 to 2024. Champaign County’s adult obesity rate fluctuated during this time, peaking in RY 2022. The adult obesity rates for Champaign County, Illinois, and the United States were all above 30% in RY 2024, but the Champaign County rate was lower than the state and national rates. All counties in Illinois had an adult obesity rate above 30% in RY 2024, but Champaign County's rate is one of the lowest among all Illinois counties.

Obesity is a health problem in and of itself, and is commonly known to exacerbate other health problems. It is included in our set of indicators because it can be easily measured and compared between Champaign County and other areas.

This data was sourced from the University of Wisconsin’s Population Health Institute’s and the Robert Wood Johnson Foundation’s County Health Rankings & Roadmaps. Each year’s County Health Rankings uses data from the most recent previous years that data is available. Therefore, the 2024 County Health Rankings (“Reporting Year” in the table) uses data from 2021 (“Data Year” in the table). The survey methodology changed in Reporting Year 2015 for Data Year 2011, which is why the historical data shown here begins at that time. No data is available for Data Year 2018. The County Health Rankings website notes to use caution if comparing RY 2024 data with prior years.

*The percentage of the county population measured for obesity was age 20 and older through Reporting Year 2021, but starting in Reporting Year 2022 the percentage of the county population measured for obesity was age 18 and older.

Source: University of Wisconsin Population Health Institute. County Health Rankings & Roadmaps 2024. www.countyhealthrankings.org.

This dataset includes select data from the U.S. Census Bureau's American Community Survey (ACS) on the percent of adults who bike or walk to work. This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding. For more information about ACS visit https://www.census.gov/programs-surveys/acs/.

Between 2015 and 2018, obesity rates in U.S. children and adolescents stood at 19.3 and 20.9 percent, respectively. This is a noteworthy increase compared to the percentages seen between 1988 and 1994.

U.S. high school obesity rates

Roughly 18 percent of black, as well as Hispanic students in the United States, were obese between 2016 and 2017. Male obesity rates were noticeably higher than those of female students for each of the ethnicities during the measured period. For example, about 22 percent of male Hispanic high school students were obese, compared to 14 percent of female students. The American states with the highest number of obese high school students in 2019 included Mississippi, West Virginia, and Arkansas, respectively. Mississippi had a high school student obesity rate of over 23 percent that year.

Physically inactive Americans

Adults from Mississippi and Arkansas were also reported to be some of the least physically active people in the United States in 2018. When surveyed, over 30 percent of adults from Kentucky and Arkansas had not exercised within the preceding 30 days. The national physical inactivity average stood at approximately 26 percent that year.

For more recent aggregated data reports on childhood obesity in NM, visit NM Healthy Kids Healthy Communities Program, NMDOH: https://www.nmhealth.org/about/phd/pchb/hknm/TitleChildhood Obese and Overweight Estimates, NM Counties 2016 - NMCHILDOBESITY2017SummaryCounty level childhood overweight and obese estimates for 2016 in New Mexico. *Most recent data known to be available on childhood obesity*NotesThis map shows NM County estimated rates of childhood overweight and obesity. US data is available upon request. Published in May, 2022. Data is most recent known sub-national obesity data set. If you know of another resource or more recent, please reach out. emcrae@chi-phi.orgSourceData set produced from the American Journal of Epidemiology and with authors and contributors out of the University of South Carolina, using data from the National Survey of Children's Health. Journal SourceZgodic, A., Eberth, J. M., Breneman, C. B., Wende, M. E., Kaczynski, A. T., Liese, A. D., & McLain, A. C. (2021). Estimates of childhood overweight and obesity at the region, state, and county levels: A multilevel small-area estimation approach. American Journal of Epidemiology, 190(12), 2618–2629. https://doi.org/10.1093/aje/kwab176 Journal article uses data fromThe United States Census Bureau, Associate Director of Demographic Programs, National Survey of Children’s Health 2020 National Survey of Children's Health Frequently Asked Questions. October 2021. Available from:https://www.census.gov/programs-surveys/nsch/data/datasets.htmlGIS Data Layer prepared byEMcRae_NMCDCFeature Servicehttps://nmcdc.maps.arcgis.com/home/item.html?id=80da398a71c14539bfb7810b5d9d5a99AliasDefinitionregionRegion NationallystateState (data set is NM only but national data is available upon request)fips_numCounty FIPScountyCounty NamerateRate of Obesitylower_ciLower Confidence Intervalupper_ciUpper Confidence IntervalfipstxtCounty FIPS text

This dataset includes data on weight status for children aged 3 months to 4 years old from Women, Infant, and Children Participant and Program Characteristics (WIC-PC). This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding. For more information about WIC-PC visit https://www.fns.usda.gov/wic/national-survey-wic-participants.

This dataset includes data on adolescent's diet, physical activity, and weight status from Youth Risk Behavior Surveillance System (YRBSS). This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding. For more information about YRBSS visit https://www.cdc.gov/healthyyouth/data/yrbs/index.htm.

In 2023, it was estimated that around 37 percent of adults with an annual income of less than 15,000 U.S. dollars were obese, compared to 29 percent of those with an annual income of 75,000 dollars or more. This statistic shows the percentage of U.S. adults who were obese in 2023, by income.

Title Childhood Obese and Overweight Estimates, NM Counties 2016 - NMCHILDOBESITY2017

Summary County level childhood overweight and obese estimates for 2016 in New Mexico. Most recent data known to be available on childhood obesity

Notes This map shows NM County estimated rates of childhood overweight and obesity. US data is available upon request. Published in May, 2022. Data is most recent known sub-national obesity data set. If you know of another resource or more recent, please reach out. emcrae@chi-phi.org

Source Data set produced from the American Journal of Epidemiology and with authors and contributors out of the University of South Carolina, using data from the National Survey of Children's Health.

Journal Source Zgodic, A., Eberth, J. M., Breneman, C. B., Wende, M. E., Kaczynski, A. T., Liese, A. D., & McLain, A. C. (2021). Estimates of childhood overweight and obesity at the region, state, and county levels: A multilevel small-area estimation approach. American Journal of Epidemiology, 190(12), 2618–2629. https://doi.org/10.1093/aje/kwab176

Journal article uses data from The United States Census Bureau, Associate Director of Demographic Programs, National Survey of Children’s Health 2020 National Survey of Children's Health Frequently Asked Questions. October 2021. Available from: https://www.census.gov/programs-surveys/nsch/data/datasets.html

GIS Data Layer prepared by EMcRae_NMCDC

Feature Service https://nmcdc.maps.arcgis.com/home/item.html?id=80da398a71c14539bfb7810b5d9d5a99

Alias Definition

region Region Nationally

state State (data set is NM only but national data is available upon request)

fips_num County FIPS

county County Name

rate Rate of Obesity

lower_ci Lower Confidence Interval

upper_ci Upper Confidence Interval

fipstxt County FIPS text

This dataset includes data on policy and environmental supports for physical activity, diet, and breastfeeding. This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding.

This dataset includes data on adult's diet, physical activity, and weight status from Behavioral Risk Factor Surveillance System. This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding.

This dataset includes breastfeeding data from the National Immunization Survey (NIS). This data is used for DNPAO's Data, Trends, and Maps database, which provides national and state specific data on obesity, nutrition, physical activity, and breastfeeding. For more information about breastfeeding and NIS visit https://www.cdc.gov/breastfeeding/data/nis_data/index.htm.

In 2023, Black adults had the highest obesity rates of any race or ethnicity in the United States, followed by American Indians/Alaska Natives and Hispanics. As of that time, around ** percent of all Black adults were obese. Asians/Pacific Islanders had by far the lowest obesity rates. Obesity in the United States Obesity is a present and growing problem in the United States. An astonishing ** percent of the adult population in the U.S. is now considered obese. Obesity rates can vary substantially by state, with around ** percent of the adult population in West Virginia reportedly obese, compared to ** percent of adults in Colorado. The states with the highest rates of obesity include West Virginia, Mississippi, and Arkansas. Diabetes Being overweight and obese can lead to a number of health problems, including heart disease, cancer, and diabetes. Being overweight or obese is one of the most common causes of type 2 diabetes, a condition in which the body does not use insulin properly, causing blood sugar levels to rise. It is estimated that just over ***** percent of adults in the U.S. have been diagnosed with diabetes. Diabetes is now the seventh leading cause of death in the United States, accounting for ***** percent of all deaths.

Proportion of children aged 4 to 5 years classified as living with obesity. For population monitoring purposes, a child’s body mass index (BMI) is classed as overweight or obese where it is on or above the 85th centile or 95th centile, respectively, based on the British 1990 (UK90) growth reference data. The population monitoring cut offs for overweight and obesity are lower than the clinical cut offs (91st and 98th centiles for overweight and obesity) used to assess individual children; this is to capture children in the population in the clinical overweight or obesity BMI categories and those who are at high risk of moving into the clinical overweight or clinical obesity categories. This helps ensure that adequate services are planned and delivered for the whole population.

Rationale There is concern about the rise of childhood obesity and the implications of obesity persisting into adulthood. The risk of obesity in adulthood and risk of future obesity-related ill health are greater as children get older. Studies tracking child obesity into adulthood have found that the probability of children who are overweight or living with obesity becoming overweight or obese adults increases with age[1,2,3]. The health consequences of childhood obesity include: increased blood lipids, glucose intolerance, Type 2 diabetes, hypertension, increases in liver enzymes associated with fatty liver, exacerbation of conditions such as asthma and psychological problems such as social isolation, low self-esteem, teasing and bullying.

It is important to look at the prevalence of weight status across all weight/BMI categories to understand the whole picture and the movement of the population between categories over time.

The National Institute of Health and Clinical Excellence have produced guidelines to tackle obesity in adults and children - http://guidance.nice.org.uk/CG43.

1 Guo SS, Chumlea WC. Tracking of body mass index in children in relation to overweight in adulthood. The American Journal of Clinical Nutrition 1999;70(suppl): 145S-8S.

2 Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Preventative Medicine 1993;22:167-77.

3 Starc G, Strel J. Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutrition 2011;14:49-55.

Definition of numerator Number of children in reception (aged 4 to 5 years) with a valid height and weight measured by the NCMP with a BMI classified as living with obesity or severe obesity (BMI on or above 95th centile of the UK90 growth reference).

Definition of denominator Number of children in reception (aged 4 to 5 years) with a valid height and weight measured by the NCMP.

Caveats Data for local authorities may not match that published by NHS England which are based on the local authority of the school attended by the child or based on the local authority that submitted the data. There is a strong correlation between deprivation and child obesity prevalence and users of these data may wish to examine the pattern in their local area. Users may wish to produce thematic maps and charts showing local child obesity prevalence. When presenting data in charts or maps it is important, where possible, to consider the confidence intervals (CIs) around the figures. This analysis supersedes previously published data for small area geographies and historically published data should not be compared to the latest publication. Estimated data published in this fingertips tool is not comparable with previously published data due to changes in methods over the different years of production. These methods changes include; moving from estimated numbers at ward level to actual numbers; revision of geographical boundaries (including ward boundary changes and conversion from 2001 MSOA boundaries to 2011 boundaries); disclosure control methodology changes. The most recently published data applies the same methods across all years of data. There is the potential for error in the collection, collation and interpretation of the data (bias may be introduced due to poor response rates and selective opt out of children with a high BMI for age/sex which it is not possible to control for). There is not a good measure of response bias and the degree of selective opt out, but participation rates (the proportion of eligible school children who were measured) may provide a reasonable proxy; the higher the participation rate, the less chance there is for selective opt out, though this is not a perfect method of assessment. Participation rates for each local authority are available in the https://fingertips.phe.org.uk/profile/national-child-measurement-programme/data#page/4/gid/8000022/ of this profile.

Proportion of children aged 10 to 11 years classified as living with obesity. For population monitoring purposes, a child’s body mass index (BMI) is classed as overweight or obese where it is on or above the 85th centile or 95th centile, respectively, based on the British 1990 (UK90) growth reference data. The population monitoring cut offs for overweight and obesity are lower than the clinical cut offs (91st and 98th centiles for overweight and obesity) used to assess individual children; this is to capture children in the population in the clinical overweight or obesity BMI categories and those who are at high risk of moving into the clinical overweight or clinical obesity categories. This helps ensure that adequate services are planned and delivered for the whole population.

Rationale There is concern about the rise of childhood obesity and the implications of obesity persisting into adulthood. The risk of obesity in adulthood and risk of future obesity-related ill health are greater as children get older. Studies tracking child obesity into adulthood have found that the probability of children who are overweight or living with obesity becoming overweight or obese adults increases with age[1,2,3]. The health consequences of childhood obesity include: increased blood lipids, glucose intolerance, Type 2 diabetes, hypertension, increases in liver enzymes associated with fatty liver, exacerbation of conditions such as asthma and psychological problems such as social isolation, low self-esteem, teasing and bullying.

It is important to look at the prevalence of weight status across all weight/BMI categories to understand the whole picture and the movement of the population between categories over time.

The National Institute of Health and Clinical Excellence have produced guidelines to tackle obesity in adults and children - http://guidance.nice.org.uk/CG43.

1 Guo SS, Chumlea WC. Tracking of body mass index in children in relation to overweight in adulthood. The American Journal of Clinical Nutrition 1999;70(suppl): 145S-8S.

2 Serdula MK, Ivery D, Coates RJ, Freedman DS, Williamson DF, Byers T. Do obese children become obese adults? A review of the literature. Preventative Medicine 1993;22:167-77.

3 Starc G, Strel J. Tracking excess weight and obesity from childhood to young adulthood: a 12-year prospective cohort study in Slovenia. Public Health Nutrition 2011;14:49-55.

Definition of numerator Number of children in year 6 (aged 10 to 11 years) with a valid height and weight measured by the NCMP with a BMI classified as living with obesity or severe obesity (BMI on or above 95th centile of the UK90 growth reference).

Definition of denominator Number of children in year 6 (aged 10 to 11 years) with a valid height and weight measured by the NCMP.

Caveats Data for local authorities may not match that published by NHS England which are based on the local authority of the school attended by the child or based on the local authority that submitted the data. There is a strong correlation between deprivation and child obesity prevalence and users of these data may wish to examine the pattern in their local area. Users may wish to produce thematic maps and charts showing local child obesity prevalence. When presenting data in charts or maps it is important, where possible, to consider the confidence intervals (CIs) around the figures. This analysis supersedes previously published data for small area geographies and historically published data should not be compared to the latest publication. Estimated data published in this fingertips tool is not comparable with previously published data due to changes in methods over the different years of production. These methods changes include; moving from estimated numbers at ward level to actual numbers; revision of geographical boundaries (including ward boundary changes and conversion from 2001 MSOA boundaries to 2011 boundaries); disclosure control methodology changes. The most recently published data applies the same methods across all years of data. There is the potential for error in the collection, collation and interpretation of the data (bias may be introduced due to poor response rates and selective opt out of children with a high BMI for age/sex which it is not possible to control for). There is not a good measure of response bias and the degree of selective opt out, but participation rates (the proportion of eligible school children who were measured) may provide a reasonable proxy; the higher the participation rate, the less chance there is for selective opt out, though this is not a perfect method of assessment. Participation rates for each local authority are available in the https://fingertips.phe.org.uk/profile/national-child-measurement-programme/data#page/4/gid/8000022/ of this profile.